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Applicants Information Collection form - Private & Confidential

Fields marked with a * are required

1 - PERSONAL DETAILS

2 - INCOME DETAILS

Previous employment if current less then 3 years

3 - ASSETS

4 - OTHER ASSETS

5 - LIABILITIES

6 - LIVING ARRANGEMENT

Current living

Current address

Previous living

7 - CREDIT HISTORY

Privacy authorisation: AKL Finance Group values and respects your rights to privacy of personal information. In order to assess your application please be aware of the following information and provide us with your consent to collect and use your information. Without this consent we may not be able to consider your application. Please read our Privacy Policy

Declarations: I have read and understood the privacy statement in this form and I consent to the collection, use and disclosure of personal information in accordance with the privacy statement.